Giant thoracic aortic aneurysm. About a clinical case
DOI:
https://doi.org/10.53903/01212095.165Keywords:
Aortic aneurysm, thoracic, Computed tomography angiography, Radiography, thoracicAbstract
Recognition of thoracic aortic aneurysms is important as they can have devastating complications if left undiagnosed or untreated promptly. The following is a clinical case of a 42-year-old male patient, in whom a giant aneurysm of the ascending thoracic aorta and aortic arch was diagnosed, the largest published in the literature to date. Early identification and referral for surgical intervention are vital to improve the morbidity and mortality of these patients. The objective of this article is to
emphasize the current role of the different imaging methods in the detection and diagnosis of aortic pathology. Thoracic Aortic Aneurysms are increasingly being recognized on Angio-Tomography, which provides excellent detail of the aorta and its relationships with adjacent structures. In the evaluation of aneurysmal disease, cross-sectional images are particularly important in depicting the extent of disease, total aortic and arterial diameters, and the extent of mural thrombus formation.
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Hiratzka LF, Bakris GL, Beckman JA, et al. ACCF/AHA/AATS/ACR/ASA/SCA/ SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: Executive summary: A report of the american college of cardiology foundation/american heart association task force on pra. Circulation. 2010;121(13):266-369. doi:10.1161/CIR.0b013e3181d4739e
Hager A, Kaemmerer H, Rapp-Bernhardt U, et al. Diameters of the thoracic aorta throughout life as measured with helical computed tomography. J Thorac Cardiovasc Surg. 2002;123(6):1060-6. doi:10.1067/MTC.2002.122310
Okura T, Kitami Y, Takata Y, et al. Giant unruptured aneurysm of the thoracic aorta. A case report. Angiology. 1999;50(10):865-9. doi:10.1177/000331979905001012
Erbel R, Aboyans V, Boileau C, et al. ESC guidelines on the diagnosis and treatment of aortic diseases. Eur Heart J. 2014;35(41):2873-926. doi:10.1093/eurheartj/ehu281
Olsson C, Thelin S, Ståhle E, et al. Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14,000 cases from 1987 to 2002. Circulation. 2006;114(24):2611-8. doi:10.1161/CIRCULATIONAHA.106.630400
Fiore A, Grande AM, Pellegrini C. A time bomb in the thorax: the giant ascending aortic aneurysm: case report. G Chir. 2012;(33):24-25.
Ceresa F, Sansone F, Zagarella G, et al. Huge ascending aorta and aortic arch aneurysm in ultra octogenarian. G Chir. 2014;35(3-4):78. doi:10.11138/gchir/2014.35.3.078
Agarwal PP, Chughtai A, Matzinger FRK, et al. Multidetector CT of thoracic aortic aneurysms. Radiographics. 2009;29(2):537-52. doi:10.1148/RG.292075080/ASSET/ IMAGES/LARGE/G09MR01T02X.JPEG
Expert Panel on Vascular Imaging, Gunn AJ, Kalva SP, Majdalany BS, et al. ACR Appropriateness Criteria® Nontraumatic Aortic Disease. J Am Coll Radiol. 2021;18(5S):S106-18. doi: 10.1016/j.jacr.2021.02.004. PMID: 33958105.
Kallianos KG, Burris NS. Imágenes de aneurisma de aorta torácica. Clín Rad América del Norte. 2020;58(4):721-31. https://doi.org/10.1016/j.rcl.2020.02.009
Davies RR, Gallo A, Coady MA, et al. Novel measurement of relative aortic size predicts rupture of thoracic aortic aneurysms. Ann Thorac Surg. 2006;81(1):169-77. doi:10.1016/J.ATHORACSUR.2005.06.026
Bonser RS, Pagano D, Lewis ME, et al. Clinical and patho-anatomical factors affecting expansion of thoracic aortic aneurysms. Heart. 2000;84(3):277-83. doi:10.1136/HEART.84.3.277
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